Dr. Alexa Brady Ellingsen Roehrig, DDS
Dentist, General Practice in De Witt, NY. Individual provider (NPI-1).
NPI number1962992834
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1962992834
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexa Brady Ellingsen Roehrig
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2018
- Last updated
- Sep 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 060673-01 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Alexa Brady Ellingsen (Former Name)
Practice location
3425 Erie Blvd EDe Witt, NY 13214-1635
Phone 315-445-9400
Mailing address
1509 W Pinehill RdSpokane, WA 99218-2946
Phone 509-389-6769
Other practice locations
4001 N Cook St
Spokane, WA 99207-5879
Spokane, WA 99207-5879
Phone 509-326-4343
8057 Brewerton Rd
Cicero, NY 13039-9585
Cicero, NY 13039-9585
Phone 315-698-0040
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Other General Practice Dentistry providers in De Witt, NY
- Jose Alvarez, DDSNPI 1124568993
- Scott Codwise DickinsonNPI 1942432729
- Michael Frederick Miller, D.M.DNPI 1639108061
- David Stubbs, DDSNPI 1508027038
All 5 General Practice Dentistry providers in De Witt · All 66 providers in De Witt
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